Ingomar United Methodist Church Child DVPT Center

2nd CITATION: In Room 218 at approximately 1:25pm during naptime, three cots that were placed next to each other were observed to not have at least 2 feet of space on three sides of the cots while in use by preschool age children as evidence by there being less than a foot of space between the middle cot and the cots on either side as well as the cots being placed a foot or less from the wall or other furniture. PREVIOUSLY CITED ON 11/7/24.

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR, Health and Safety Training, and Mandated Reporter Training.

The staff file for Staff person #1 was observed to contain a current National Sex Offender Registry (NSOR) check dated 9/24/24 with an application dated 9/19/24 which was not applied for prior to first day working with children (See IS CODE SHEET) as required for provisional hiring under the Child Protective Service Law (CPSL.) Staff person #1 also contained a DHS FBI clearance dated 10/16/24 on file and lacked proof of receipt of having been fingerprinted for the DHS FBI clearance prior to first date working with children as required by the CPSL. The staff file for Staff person #3 lacked a PA State Police clearance as well as a DHS FBI clearance; The FBI clearance on file was from West Virginia which is not an acceptable clearance. Staff person #3's file also contained a current NSOR check dated 9/30/24 with an application dated 9/18/24 which was not applied for prior to first day working with children (See IS CODE SHEET) as required by the CPSL.

At approximately 1:15pm, during naptime in Room 221, one staff and 7 toddlers were observed. During the onset of supervision/ratio check, Staff person #3 identified and named only 4 children thus leaving the other 3 children unaccounted for. When asked who was responsible for the 3 unnamed children Staff person #3 said Staff person #11, who was out of the room on their break, was responsible for those children.

In the Fellowship Hall, the following toxics labeled 'Keep Out of Reach of Children' were observed accessible to children in care: bottle of Purell hand sanitizer on the welcome desk, a container of Clorox wipes to the left of the coffee machine, another container of Clorox wipes, sanitizing bleach spray bottle to the right of the beverage bistro. In the Narthex Room, a Purell hand sanitizer, and two pink sanitizing spray bottles were observed accessible to children in care.

In Room 218 a snake plant, which is considered toxic to humans, was observed on a window seal.

There was one ceiling tile in the girls bathroom located in the Fellowship Hall, and two ceiling tiles in Room 220, that were observed to not be kept clean as evidence by having water spots from a previous leak that has since been repaired.

In Room 221 nine resting mats were observed to not be labeled for the use of a specific child.

In Room 219, an infant was observed to be asleep in a crib and there was not at least 2 feet of space on three sides of the crib while it was in use as evidence by a dress up cabinet and rocking chair were less than a foot away from the crib.

The staff file for Staff person #1 contained a current health assessment dated 9/23/24 which was not conducted prior to providing initial service in a childcare setting. The staff file for Staff person #4 contained a current health assessment dated 9/2/24 which was not conducted prior to providing initial service in a childcare setting.

The staff file for Staff person #1 and Staff person #3 lacked a tuberculin skin test and the results.

The child file for Child #7, lacked an initial health report within 60 days after initial enrollment.

The staff file for Staff person #7 contained current staff evaluation dated 5/2024 which was not completed at least one every 12 months from the previous staff evaluation on file dated 3/16/23.

The staff file for Staff person #4, Staff person #6, and Staff person #8, who are functioning as assistant group supervisors, contained a foreign diploma that lacked additional documentation to show that the diploma had been evaluated to determine its validity and whether or not it meets qualifications for the position. The staff file for Staff person #2 and Staff person #5, who are functioning as Assistant Group Supervisors, lacked two years' experience working with children. The staff file for Staff person #3, who is functioning as an Assistant Group supervisor lacked proof of education and two years' experience working with children

The child file for Child #7 was observed to contain a current financial agreement form that lacked the operators signature.

The child file for Child #2 and Child #6 was observed to contain a current Emergency Contact form that lacked the health insurance name and policy number.

The child file for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, Child #8, Child #9, and Child #10 contained a current emergency contact information form that lacked signed parental consent for emergency medical care for the child.

The child file for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, Child #8, Child #9, and Child #10 contained a current emergency contact information form that lacked signed parental consent for administration of minor first-aid procedures by facility staff.

The staff file for Staff person #1 lacked a tuberculin skin test and the results. The staff file for Staff person #3 lacked a health assessment as well as a tuberculin skin test and the results.

The staff file for Staff person #1 was observed to lack one nonfamily reference.

Upon review of the facility's emergency plan, it was observed that the annual reviews and updates done by the director have not been documented in writing and kept on file at the facility.

The staff file for Staff person #3 was observed to contain documentation of having received training on the facility emergency plan on 8/14/23 which was more than 90 days from date of hire.

The staff file for Staff person #2 contained a current health assessment dated 8/26/23 which was not conducted prior to providing initial service in a childcare setting. The staff file for Staff person #4, contained a current health assessment dated 8/31/23 which was conducted more than 24 months from the previously dated 7/721 health assessment on file.

The staff file for Staff person #2 contained a current tuberculosis screening and results dated 8/26/23 which was not conducted prior to providing initial service in a childcare setting.

The staff file for Staff person #3 contained a current health assessment dated 7/10/23 that lacked an assessment of the person's suitability to provide childcare.

Upon review of the facility's fire drill log, the following fire drills were observed to have been conducted more than 60 days apart: 1/13/23 - 3/16/23 (62 days), 3/16/23 - 5/18/23 (63 days), 5/18/23 - 9/1/23 (106 days), 9/1/23 - 11/1/23 (61 days).

Staff person #7 had not completed the one-hour Pennsylvania Health and Safety Update 2022 training by 12/30/22 as required per announcement C-22-06; Staff person #7 has since completed the training on 1/16/23.

In Room 218 two staplers were observed to be accessible to the preschool age children in care.

The staff file for Staff person #1 was observed to contain fire safety trainings that were conducted more than12 months apart; those fire safety trainings are dated 8/6/23 and 7/21/22. The staff file for Staff person #4 was observed to contain fire safety trainings that were conducted more than12 months apart; those fire safety trainings are dated 8/4/23 and 7/22/22.

Staff person #3 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. Staff person #1 has since obtained Pediatric First Aid/CPR on 5/1/23. Staff person #5 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR and Health and Safety training. Staff person #1 has since obtained Pediatric First Aid/CPR on 2/8/23 and completed the Health and Safety training on 3/20/23. Staff person #6 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety training. Staff person #6 has since obtained Health and Safety training dated 11/29/22.

The staff file for Staff person #2, who is functioning as a Group Supervisor, contained a Bachelor of Science degree that lacked the academic field of study as well as lacked a transcript. Therefore, it cannot be determined if the field of study meets regulatory requirements.

The staff file for Staff person #1 lacked documentation of having applied for and received the out of state clearances from the State in which they resided in within the previous five years as required by the Child Protective Service Law (CPSL). The file for staff person #2 lacked a DHS FBI clearance and a National Sex Offender Registry (NSOR) clearance; documentation of application of a DHS FBI clearance as well as an application for a NSOR clearance that were not submitted prior to date of hire (See IS CODE SHEET) as required for provisional hiring under the CPSL.

In Room 218, Room 220, and Room 221, at approximately 1:00pm during nap time, the room was observed to lack adequate lighting thus making is difficult for staff to see the children's faces in order to properly supervise the children as they napped.

The facility emergency plan lacked information regarding volunteer emergency preparedness, and continuity of operations included in their emergency plan.

In Room 218, Room 220, and Rom 221, at approximately 1:00pm during nap time, the room was observed to lack adequate lighting thus making is difficult for staff to see the children's faces in order to properly supervise the children as they napped.

The sink located in Narathex room lacked a handwashing sign.

In CDC Preschool - Room 218 an inhaler for Child #2 was observed to not be in the original container.

The staff file for Staff person #3, contained a current health assessment dated 10/31/22 which was conducted more than 24 months from the previously dated 9/29/20 health assessment on file. The staff file for Staff person #4, contained a current health assessment dated 1/29/22 which was conducted more than 24 months from the previously dated 1/6/20 health assessment on file. The staff file for Staff person #6, contained a current health assessment dated 10/24/22 which was conducted more than 24 months from the previously dated 9/2/20 health assessment on file. The staff file for Staff person #9, contained a current health assessment dated 7/7/22 which was conducted more than 24 months from the previously dated 5/22/20 health assessment on file. The staff file for Staff person #10, contained a current health assessment dated 10/14/21 which was conducted more than 24 months from the previously dated 10/2/19 health assessment on file.

Upon review of the facility's fire drill log the fire drills conducted between 12/7/21 and 2/21/22 was more than 60 days between drills.

Staff person #6 self-reported that the facility had not been testing their fire detection system once every 30 days.

The staff file for Staff person #3, Staff person #8, and Staff person #10 contained current first-aid/CPR training dated 8/17/21 which was not renewed on or before the expiration of the previous training certificate on file dated 8/15/19. The staff file for Staff person #5 contained current first-aid/CPR training dated 8/17/21 which was not renewed on or before the expiration of the previous training certificate on file dated 5/23/19. The staff file for Staff person #7 contained current first-aid/CPR training dated 8/17/21 which was not renewed on or before the expiration of the previous training certificate on file dated 7/31/19.

Staff person #11 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training.

The child file for Child #1 was observed to lack a financial agreement form.

The file for staff person #2, hired provisionally with a start date of 9-7-21, had an FBI clearance dated 9-21-21 and lacked verification of fingerprinting for the FBI clearance at their start date to be a provisional hire. The file for staff #1 had FBI clearances dated 6-3-15 and 6-17-20 that were over 60 months between clearances.

In the CDC 2 room on the second floor of the facility, the middle window was observed to open more than 6 inches.

In the CDC 3 room, the first-aid kit was in a bag that was hanging on the doorknob of the door to the hallway and was accessible to children. In the CDC 2 room, the first-aid kit was in a bag on a chair behind the door and was accessible to children.

The files for staff person #2, with a start date of 9-7-21, and staff person #7, with a start date of 10-28-21, lacked an initial health assessment and require a current health assessment. The file for staff person #4 had a health assessment that exceeded 24 months between assessments.

The file for staff person #5, with a start date of 8-23-21, had an initial health assessment and tuberculosis screening by the Mantoux method that were dated over a year prior to initial employment/providing initial service in a child care setting and require a current health assessment and tuberculosis screening by the Mantoux method.

The file for staff person #3 had current pediatric first-aid and CPR training with a completion date of 8-17-21 that was after the March 2021 expiration of the prior training.

The file for staff person #7, functioning as an aide, lacked verification of education to qualify as an aide.

The parent of each enrolled child was not provided with information on how to access the DHS child care regulations electronically.